According to this article describing the use of ICTs to support e-learning in the Philippines, "it is not wise to use technology simply for technology sake, it must be 'relevant.' 'Relevance' in this case has two dimensions: the first is process and the second is substance." Cost (ie., access) and culture: it's the same thing in pretty much every article in the current IRRODL, in articles describing e-learning in Nepal and Bhutan, China, Cambodia, even Korea. At least the article on Quality Assurance in Indonesia breaks the pattern, though the Quality movement doesn't really appeal to me.